Basal cell carcinoma of the anus is extremely rare, accounting for only 0.1
% of anorectal malignancies. We report the reconstruction of the anus with
a biaxial pedicled scrotal island myofasciocutaneous flap following excisio
n of an anal basal cell carcinoma, and conclude that this technique may be
valuable in the reconstruction of the anal region. (C) 2001 The British Ass
ociation of Plastic Surgeons.